Healthcare Provider Details

I. General information

NPI: 1326635830
Provider Name (Legal Business Name): JAMIE ZIPPERER MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2020
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 S 24TH AVE
WAUSAU WI
54401-5242
US

IV. Provider business mailing address

705 S 24TH AVE
WAUSAU WI
54401-5455
US

V. Phone/Fax

Practice location:
  • Phone: 715-848-1457
  • Fax:
Mailing address:
  • Phone: 715-848-1457
  • Fax: 715-848-2959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number101184
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10079-125
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: